HomeMy WebLinkAboutBuilding Permit 14-0795 AT TIME
CITY OF PRIOR LAKE 3/71/0
INSPECTION NOTICE SCHEDULED
2863 SPRING LAKE
ADDRESS
•
SMALLL TOWN VALUES CONTRACTING,
OWNER _INC.
PHONE NO. Re_Roof 14-0795
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
OCA-7.e. ct).
❑ WORK SATISFACTORY,PROCEED
❑ CORRE CTION AND PROCEED
❑ CORR' n•RK,CALL FOR REINSPECTION BEFORE COVERING
Pe
Ins cto �1I Owner/Contr:
/1
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
OF PR/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
. t• TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT e -(.,. l q
',pg$.; I. White File PERMIT NOI( ---7q52. Pink City _ ` �.'
i Yellow Applicant
se type or print and sign at bottom)
ADDRESS ZONING(office use)
V3 S99-4 LOG' ( ►L€ � t0P- 1.-A4G. ilia --S-37-2.— X 511
LEGAL DESCRIPTION(office use only) / r ,f�
LOT BLOCK ADDITION PID ' •1 ' o t ' C
OWNER
(Name) L-OUDA 1,11 t u4ftm5 (Phone) (C1C-2) Q-Vac
(Address) SAME AS A j )-vE.
1 BUILDER -� i r
(Company Name) SMALL IO&i V AI,Li S Grr1 r'Mci1 tc - iikl• (Phone) 612- S41 6-2-SS-
(Contact
p' SS-(Contact Name) 13(Z4 AA) 13.4 / (Phone) (p 1Z- 7'Sv -715c.,
(Address) 17070 $u¢iA� CoLAR r Fitkaiti IlJ6-T75,7i 1-'1&) S V
TYPE OF WORK ❑New Construction ['Deck ❑Porch Xe-Roofing g ❑Re-Siding ['Lower Level Finish r� EJ Fireplace
❑Addition ❑Alteration ❑Utility Conn tion „,,,e, r p e fgc /.'r �74�� _t ,.. &-
CODE: ❑I.R.C. ❑I.B.C. ❑Misc."'�^'1"
e of Construction: I II III IV V A B It
t�0
panty Group: A B E F H I M R S U PROJECT COST/VALUE $ ?��
rvision: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and tha all constructsr ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offici. .:n revoke this pe it fo us cause. Fur ore,I hereby agree that the city official or a designee may enter upon the property to perform needed ms ections.
Signature J Contractor's License No. late
Permit Valuation r/ Park Support Fee # $
Permit Fee $ ems'd SAC # $
Plan Check Fee $ ,, Water Meter Size 5/8"; 1"; $
State Surcharge $ L Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ ,
This Application Becomes Your Building Permit When Approved Paid C(, 7S_ Receipt N �1 19�
Date Lo-(Lf By , }T.-t..t-Li
Building Official Date
IDs is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
en signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372